Individual provider · Type 1 NPI

Idelisa Vazquez

Licensed Practical Nurse · Worcester, MA

NPI number 1609083450 Active

Practice location

19 Tacoma St
Worcester, MA 01605-3516

Call (508) 852-1805 Map

Fax (508) 853-8593

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X60985 (MA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1609083450

Idelisa Vazquez's National Provider Identifier is 1609083450, issued on May 17, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Worcester, MA. The record was last updated on Jul 9, 2007.